Organization
KAZ COMMUNITY DEVELPOMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAGEL WILLIAMS SR. (DIRECTOR)
(773) 936-7000
Entity
Organization
Contact information
Practice address
12654 MAPLE AVE, BLUE ISLAND, IL 60406-1904
(708) 489-0001
(708) 489-0002
Mailing address
12654 MAPLE AVE, BLUE ISLAND, IL 60406-1904
(708) 489-0001
(708) 489-0002
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
06/20/2012
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